Location: Cosmopolitan Ballroom Lobby
Category
General Sessions
7:00 AM
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Delivered by President Mike Reinold
Location: Regency A/B
Category
General Sessions
8:00 AM
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Creating Novel Clinical Service Delivery Though Interprofessional Education, Research, and Community Partnerships
Interprofessional education (IPE) and collaboration have long been proposed to enhance valued based care by improving outcome and lowering cost. Despite this, several barriers exist limiting use of IPE and more significantly interprofessional collaboration (IPC). In sports science and sports medicine, interprofessional education has shown positive attributes amongst sports medicine professionals, however IPC is limited. The purpose of this session is to discuss the implementation of novel post-professional education, collaborative clinical research, and clinical team education/community partnerships to promote relational practice and best practice outcomes at a large academic medical center. The session will focus on novel service care delivery involving an upper extremity athlete fellowship, share-decision making hip research; and knee specialty team community partnerships. Presenters will describe how evidence-driven care is fostered through these partnerships as well as the impact on internal and external stokeholds. Barriers and facilitators of IPE and IPC will be also be discussed to promote change regardless of the institutional model.
- Caroline Brunst, PT, DPT, AT
- John DeWitt, PT, DPT, AT
- Stephanie Di Stasi, PT, PhD
- Greg Hock, PT, DPT, OCS
Location: Regency A/B
Category
General Sessions
8:15 AM
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Knee SIG: ACL ABC’s, do we really know D through Z?! Implementing the BEST of what we KNOW: Rehabilitation after ACL reconstruction (ACLR) remains one of the most disputed topics among healthcare professionals. Criterion-based progressions have predominantly been used to help guide clinicians with progressions in the rehabilitation process. However, many lack consensus, often differ from available evidence, have failed to reduce the unacceptably high re-tear rate amongst athletes returning to sport, and/or are simply, not followed. A recently published article on Rehabilitation Guidelines following ACLR utilized University-based clinical data to inform objective milestones to guide clinician’s decision making in the management of athletes after ACLR. Implementing guidelines remains a challenge for numerous reasons. Our presentation seeks to acknowledge the shortcomings within our rehabilitation strategies, highlight the areas in need of ongoing research and provide easily translatable clinical skills to immediately improve the clinical management of athletes following ACLR. Understanding these guidelines will not only help to improve outcomes post ACLR but will hopefully decrease the sequelae that we continue to see in perpetuity.
(Giordano, Brinlee)
Location: Regency E/F
Category
Break-Out Sessions
10:00 AM
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Running SIG: Posterior Tibialis Tendon Dysfunction is a common foot pathology with varying degrees of severity. The milder cases can be more of a nuisance however the more severe cases can be quite debilitating. Runners with this issue may be forced to modify their gait or training programs to be able to continue with their training. This presentation will review how to classify posterior tibialis tendon dysfunction, both non operative and operative treatment options will be discussed as will strategies to either continue or return to running following this diagnosis.
(Greenberg, Fant, Barnet)
Location: Theory
Category
Break-Out Sessions
10:00 AM
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Tactical SIG: Pragmatic Approach to Returning Military Tactical Athletes to Duty: Musculoskeletal injuries are undeniable prevalent and burdensome in tactical athletes, and are the leading cause of medical encounters across all U.S. military branches. Occupational demands (e.g., load carriage) place military tactical athletes at an increased risk of musculoskeletal injury, as well as predispose the body to detrimental long-term physiological effects creating a financial burden and impact on force readiness due to time lost. Unfortunately, current literature often utilizes self-reported level of function to determine return to duty status. Following injury, decisions to return to duty are frequently deferred to clinicians’ opinion, or use time-based criteria, with no one accepted functional testing algorithm consistently utilized across institutions and/or branches. Currently utilized functional testing algorithms may not consider the unique biomechanical demands of military tactical athletes. Additionally, when an injury occurs, bridging the gap between end stage rehabilitation and performance training to return to prior physical demands can be one of the most challenging aspects within rehabilitation and must be considered when attempting to optimize warfighter readiness. Throughout the process of returning military tactical athletes to duty, a pragmatic, interdisciplinary approach is warranted, considering time and resources allocated for intervention and assessment.
(Pontillo, Lazicki, Buckingham)
Location: Vision
Category
Break-Out Sessions
10:00 AM
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Golf SIG: Over the last few years three dimensional analysis of the golf swing have led us to find a distinctive pattern that the worlds best players all exhibit. This is referred to as the kinematic sequence of the golf swing. This analysis is helpful for us as PT’s to determine swing efficiency and how well the player can transfer energy from the ground out to the club. It can also help us find potential pit falls and inefficiencies that can potentially lead to an injury in the player. If we can find those power leaks early on, then the player will not have to deal with an injury but can perform at a higher level for a longer period of time. I will highlight the dynamic interaction of the hip joint and the low back joints and their roles in transferring the energy from the LE to the UE and why the low back is the most commonly injured joint in amateur golfers. I will discuss this application with other rotational sports and what it can mean for the everyday sports physical therapist.
(Rhodes)
Location: Vision
Category
Break-Out Sessions
11:30 AM
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Performance Enhancement SIG: Treating the Every Day Athlete Like A Pro – Multidisciplinary Care in an Insurance Based Model
Current recommendations for timing of return to sport following ACL reconstruction suggest a minimum time of 9-months. Quadriceps strength, progressive activity exposure time, and time from surgery are recognized as important prognostic indicators in determining an athlete’s ability to successfully return to competitive sports participation. The literature has consistently highlighted ongoing impairments in surgical limb performance in athletes returning to sport, despite participation in structured post- operative physical therapy care. Depressed strength and movement quality at the time of return to sport potentially leads to an increased risk of knee re-injury. Current clinic-based physical therapy models may not provide access to appropriate levels of training stimulus needed for successful return to sport due to lack of equipment, insufficient strength program design and/or decreased activity exposure. These gaps in care leave athletes with impairments that impact both their short and long term recovery. Teamwork and collaboration with other, skilled professionals, such as athletic trainers, strength coaches and skill coaches, can augment physical therapy care within a patient’s recovery plan. Applying a multi-disciplinary, team-based approach throughout the phases of rehabilitation helps patients overcome deficits that are otherwise difficult to overcome with traditional clinic-based physical therapy alone. Our team will discuss the importance of collaboration within a multidisciplinary rehabilitation model. We will discuss current pitfalls with physical therapy access, our strategies for navigating them, and how a multidisciplinary model can positively impact the potential for an athlete to successfully return to competitive sports participation.
(Monson, Solie, O’Keefe, Kiely)
Location: Theory
Category
Break-Out Sessions
11:30 AM
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Shoulder SIG: Evidenced-Based Postoperative Upper Extremity Testing Criteria for Informing Rehabilitation Progression and Return-to-Sport Decisions: Despite increased research showing the benefit of progressive return to play testing for the upper extremity, there is no clear agreement on steps to implement testing protocols, adapt tests given resources and populations, or integrate tests in clinical practice. Our presentation plans to address these gaps by providing rationale for test selection, considerations for creating your own testing battery, and discussion of strategies to best interpret the data for immediate use with patients. We will describe how to implement an evidenced based upper extremity return to sport objective testing plan following surgical intervention. The discussion will include examples of tests for each category of function (i.e. strength, stability, function, and plyometrics) and how to modify them with available resources at different clinical settings. We will also discuss progressions as patient function increases post-operatively. Case examples will be presented to demonstrate each step in the process from data collection, to processing, to reporting and interpreting, to implementation of recommendations.
(Lanser, Thein-Nissenbaum)
Location: Regency E/F
Category
Break-Out Sessions
11:30 AM
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Concussion SIG: Fear Avoidance Behaviors in Concussion Management... Evidenced Based Strategies for Safe Return to Play: Characteristics of individuals at risk for post-concussive syndrome (PCS) include a previous history of psychological conditions such as anxiety, depression and/or mood disorders, history of headaches/migraines and post-concussive vestibular ocular dysfunction. The nature and extent of PCS is complex and has been associated with fear-avoidance behaviors that interfere with full return to sport. Fear-avoidance behavior has been recently shown to be a predictor of adverse clinical outcomes and increased risk of subsequent injury following concussion. The role of residual anxiety and fear can be a factor in full rehabilitation and the return to sport process. Patients with mTBI have potential to misinterpret information regarding their injury, catastrophizing their symptomology, with resultant increased levels of anxiety and avoidance behavior over time. Physical therapists are in a unique role to alter behaviors contributing to protracted recovery. Early recognition and intervention utilizing active rehabilitation, educational strategies, and collaboration with other healthcare team members has the potential to decrease the psychological burden associated with protracted recovery as well as ensure safe return to play. This session aims to equip attendees with formal assessment methods to recognize anxiety/fear contributing to slowed recovery as well as demonstrate active strategies and educational framework for improved outcomes.
(Bliss, Bridges)
Location: Vision
Category
Break-Out Sessions
2:00 PM
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Performance Enhancement SIG: "I'm Not Trying to Be the Best at Exercising" - Adaptation or Acquisition? In sports physical therapy it is often unknown whether the primary mediator of recovery from injury is physiological adaptation or skill acquisition. In the case of physiological adaptation, it is thought that improving tissue tolerance and capacity drives the ability to return to one’s prior level of function. Many argue that the skill acquisition of sport-specific movements or tasks plays a strong role in the recovery following injury, and is more likely to explain the early effects seen in rehabilitation. The panel will discuss the relevant contributions of adaptation and acquisition in three specific areas of rehabilitation: performing arts injuries, running injuries, and following ACL reconstruction. The format of this session will be a moderated panel discussion.
(Tuori, Graham, Oft, Juneau)
Location: Regency E/F
Category
Break-Out Sessions
2:00 PM
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Female Athlete SIG: Stabilization of the pelvis and foot are often goals in rehabilitation of the running athlete. Pelvic and foot dynamic stability are necessary for optimal running gait. Some runners experience impairments in the pelvic floor or foot that benefit from use of an orthotic or other device to assist in stabilization and offloading in conjunction with specific strengthening exercises to address underlying impairments. For the pelvic floor, pessaries and other devices may be used. Cooperation in a multidisciplinary team is important for differential diagnosis and robust care of an athlete who requires fitting and use of a pessary. With regards to the foot, wedges, posts and other accommodations can be used to help shift loads to tissues more able to handle the loads while an injured tissue can heal. This session will describe how orthotics may be utilized to treat runners in conjunction with exercise and manual therapy in the physical therapy setting.
(Greenberg, Olson)
Location: Theory
Category
Break-Out Sessions
2:00 PM
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You Throw How Hard? Treating the Baseball Athlete
The overhead pitching motion in baseball is a coordinated sequence of movements that subjects the shoulder to extreme forces; rotational speed of the arm can reach greater than 7000°/s with joint compression and distraction forces of more than 1000 N during a pitch. The ultimate goal of this complex, dynamic activity is to generate high ball velocity and accuracy. However, these stresses inevitably predispose these athletes to adaptive changes and subsequent upper extremity injuries. As it is known that shoulder injuries are multifactorial, injury prevention and rehabilitation can be overwhelming to the clinician who is attempting to identify and address internal and external risk factors. Although baseball medicine continues to advance our knowledge in biomechanics, injury prevention, and rehabilitation, translating the plethora of research into clinical application can be challenging. Recent advances in the care of the baseball athlete through the continuum of care -preinjury though end stage rehabilitation- will be examined from a sport-specific perspective in this session. This course will overview the spectrum of sports physical therapy care for baseball pitchers, from injury prevention, to nonoperative care, to postoperative rehabilitation.
- Marisa Pontillo, PT, PhD, DPT, SCS
- Mike Reinold, PT, DPT, ATC, CSCS
- Eric Bellm, PT, DPT, OCS
Location: Regency A/B
Category
General Sessions
3:30 PM
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Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|
Location: TBD Max 10 members!
Enjoy dinner and conversation with members of the SIG leadership and, at some tables, the Executive Committee.
(You have to pay for your meal.)
8:00 PM
|